Melancon, Jeffrey Walter

Melancon, Jeffrey Walter is an individual health care provider with primary practice located at Nmcb 74 Unit 60253 , Fpo AA 34099. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Melancon, Jeffrey Walter can be contacted via phone (228) 871-2149.

Contact Information

Primary practice address
Nmcb 74 Unit 60253 Fpo AA 34099
Phone: (228) 871-2149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1699971622
LBN Legal business name Melancon, Jeffrey Walter
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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